Family Counseling in Addiction By Dr. Ahmed Albehairy , M.D Psychiatry Consultant
Psychotherapy vs. counselingPsychotherapy:is an intentional interpersonal relationshipused by trained psychotherapists to aid aclient in problems of living. It aims toincrease the individuals well-being.
Psychotherapy vs. counselingCounseling: it involves facilitatating personal and interpersonal functioning across the life span with a focus on emotional, social, , educational, health-related, developmental, and organizational concerns.
The aims of counsellingCounselling can help people:• discuss their problems honestly and openly,• deal with issues that are preventing them from achieving their goals and ambitions, and• have a more positive outlook on life
Emphasizing issues in Family Counselling in Addiction• disease model of addiction.• Motivational skills training.• Signs of enabling.• Main concepts of follow up .• Lapse and relapse.• Role of the family in each therapeutic step.• Role of the key person.• Trust vs. mistrust• How to deal with patients cravings.• More frequent questions from the family.
Emphasizing issues in Family Counselling in Addiction• disease model of addiction. disease model reward system personality disorders and changes.
Emphasizing issues in Family Counselling in Addiction• Signs of enabling.• Obsessively thinking or ruminating about what to do to get others to change behaviors.• Protecting someone from the consequences of their addiction.• Constantly cleaning up the chaos to keep the status quo.• Ignoring mood-altering substance abuse patterns.• Creating lies or excuses for others drug using or drinking patterns.
Emphasizing issues in Family Counselling in Addiction• Signs of enabling.• Nagging or starting arguments then ignoring drug use and drinking.• Allowing the person in active addiction to live in the same household when they are abusive or continue with destructive behaviors.• Tolerating individuals driving under the influence of mood-altering substances• Ignoring peoples self destructive behaviors for fear of starting arguments
Emphasizing issues in Family Counselling in AddictionCoping with Relapse• Process.• Handling crises and emergency situations.• Indications for referral to family therapy.
Emphasizing issues in Family Counselling in AddictionHandling craving• Encouraging the individual to express craving• to them• Not panicking, as craving can be handled in ways• other than using drugs• Understanding that the process of craving is• temporary.
Emphasizing issues in Family Counselling in AddictionHandling craving• Giving him/her something to eat or drink. The• craving is often reduced when a person’s hunger• or thirst is quenched• Talking it through when craving occurs• Distracting the individual by playing a game,• reading, going to a movie, listening to music or• going out to visit some relatives, etc
Family Therapy• confessions and confrontations.• Parenting skills.• Discussions skills.• Solving problem skills.• Anger management in the family.• Family firmness.• Therapeutic alliance ( patient , family and therapists).